The development of empirically-supported treatments for substance abuse disorders, although productive over the past twenty years, has not been accompanied by an equal effort in the transfer, or dissemination of such approaches to standard practice. Dissemination appears unlikely to occur without specific efforts, including the training of professional staff in new techniques. Yet little is known about what types of training efforts are effective for different types of interventions for substance abuse treatment professionals with varying clinical skills and experience. In response to PA-03-126, NIDA Behavioral Therapy Development Program, the proposed Phase III research will develop and evaluate an innovative model for the training of counselors working in agencies providing substance abuse treatment. Based on concepts of technology transfer, change in practice behavior is seen as more likely in response to training that is tailored to the individual's professional needs and accompanied by contextual processes that remind, reinforce, and support changes in clinical practice. Training must also involve assessment and consultation in partnership with agencies providing substance abuse services. A """"""""Context Tailored"""""""" training model will be developed for skills in Motivational Interviewing (MI), a clinical approach that has strong empirical support and for which training is often requested. The model will be pilot tested in two agencies. After revision, the training model will then be compared to a traditional CPE workshop in a small randomized trial with six additional agencies. The new, context based model is expected to achieve greater acquisition, maintenance and generalization of specific MI skills compared to a traditional CPE workshop, as assessed in practice with actual patients. The proposed research is designed to provide standardization and preliminary data-based support for context-tailored training. If successful, subsequent proposals for research on a much larger scale can test training effectiveness across a broad range of agencies, personnel, and topics.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA016360-03
Application #
7047773
Study Section
Human Development Research Subcommittee (NIDA)
Program Officer
Mcnamara-Spitznas, Cecilia M
Project Start
2004-06-01
Project End
2008-03-31
Budget Start
2006-04-01
Budget End
2008-03-31
Support Year
3
Fiscal Year
2006
Total Cost
$303,799
Indirect Cost
Name
University of Washington
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
Lord, Sarah Peregrine; Sheng, Elisa; Imel, Zac E et al. (2015) More than reflections: empathy in motivational interviewing includes language style synchrony between therapist and client. Behav Ther 46:296-303
Imel, Zac E; Baldwin, Scott A; Baer, John S et al. (2014) Evaluating therapist adherence in motivational interviewing by comparing performance with standardized and real patients. J Consult Clin Psychol 82:472-81
Imel, Zac E; Barco, Jacqueline S; Brown, Halley J et al. (2014) The association of therapist empathy and synchrony in vocally encoded arousal. J Couns Psychol 61:146-53
Hartzler, Bryan; Beadnell, Blair; Rosengren, David B et al. (2010) Deconstructing proficiency in motivational interviewing: mechanics of skilful practitioner delivery during brief simulated encounters. Behav Cogn Psychother 38:611-28
Baer, John S; Wells, Elizabeth A; Rosengren, David B et al. (2009) Agency context and tailored training in technology transfer: a pilot evaluation of motivational interviewing training for community counselors. J Subst Abuse Treat 37:191-202
Rosengren, David B; Hartzler, Bryan; Baer, John S et al. (2008) The video assessment of simulated encounters-revised (VASE-R): reliability and validity of a revised measure of motivational interviewing skills. Drug Alcohol Depend 97:130-8